HomeMy WebLinkAbout939 CAROLINE ST - Building (10) ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number 18-00001358 Date 12/06/18
Application pin number . . . 319626 REPORT STATE SALES TAX
Property Address . . . 939 CAROLINE ST our excise tax form
ASSESSOR PARCEL NUMBER: 06-30-00-1-0-3325-0000- On y
Application,type description ELECTRICAL ONLY to the City of Port Angeles
Subdivision'Name . . . . . .
Property Use (Location Code 0502)
Property Zoning . . . . PUBLIC BUILDINGS & PARKS
Application valuation . 0
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Application desc
Access control wiring
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Owner ContraCtor
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PUBLIC HOSPITAL DISTRICT #2 ANGELES COMMUNICATIONS INC.
939 CAROLINE ST 102 ROSS LN.
PORT ANGELES WA 98362 PORT ANGELES, WA
(360) 417-7170 PORT ANGELES WA 98362
(360) 457-4375
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Permit . . ELECTRICAL ALTER COMMERCIAL
Additional desc
Permit Fee 116.00 Plan Check Fee .00
Issue Date . . 12/66/18 valuation . . 0
Expiration Date 6/04/19
Qty Unit Charge Per Extension
1.00 96.0000 ECH - EL-LIMITED 1ST 1500 SQ FT 96.00
4.00 5.0000 ECH EL-ADDNT LIMITED 1500 SQ FT 20.00
Fee summary Charged Paid Credited Due
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Permit Fee Total 116.00 116.00 .00 00
Plan Check Total .00 .00 .00 .00
Grand'Total -116.00 116.00 .00 .00
I
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN 14
FINAL
COMMENTS:
P A f WILL EXPIRE SIX(6)MONTHS FROM LAST INSPWnON
Signature idowner or Electrical Contractor X Date:
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Aug 29 18,01:19p Angeles Communications 360-457-0212 p.1
MULTI-FAMILY / COMMERCIAL ?
1
ELECTRICAL PERMIT APPLICATION --
Public Works and Utilities Department
321 E. 5th Street, Port Angeles, WA 98362 CIO
360.417.4735 1 www.cityofpa_us{ electrical permits@citvofpa.us !,
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Project Address: L l fax-vc_i V s� f c.- ty-n �,��► r G✓ '7'
Project Description: -E- C°^f,c
❑ Multi-Family Residential 'Commercial 1 Industrial I Public Building Square footage:
OWNER INFORMATION
Name: C L YriP( L r ie.4-L Ery 70 Z Email: iJ»S c yn-
Mailing Address: ��3% C flip G S7 c T- .�Z ef Gcf� Phone: 3,6"0
ELECTRICAL CONTRACTOR INFORMATION
Name: e en, m+ r7 ,c a�s' Z�,�, License: Sr-1
Mailing Address: i ° ss L-A,-e Expiration Date:
Email: r��n u z rS C�o r}- r•✓n�{< <�r S� L'r.� Phone: 4,4 3 7,
PROJECT,DETAJLS
Ism Unit Charas Quantity Total(Quantity x Unit Charge)
ServicelFeeder 200 Amp. $132.00 $
Service/Feeder 201-40OAmp_ $160.00 $
ServicelFeeder 401-600Amp. $225.00 $
Servioe/Feeder 601-1000 Amp. $268.00 $
Service/Feeder over 1000 Amp. $410.00 $
Branch Circuit W/Service Feeder $5.00 $
Branch Circuit W/O Service Feeder $74.00 $
Each Additional Branch Circuit $5.00 $
Branch Circuits 1-4 $86.00 $
Temp.Service/Feeder 200 Amp. $102.00 $
Temp.Service/Feeder 201400 Amp. $121.00 $
Temp. Service/Feeder 401-600 Amp. $164.00 $
Temp. Service/Feeder 601-1000 Amp. $185.00 $
Portal to Portal Hourly $96.00 $
Signal Circuit/timited Energy-Multi-Family $88.00. _ $
Signal Circuit/Limited Energy/First 1500 sf-Commercial $96.00 / $
(Note:$5.00 for each additional 1500 sf) f!
Renewable Elec. Energy.5KVA System or less $113.00 $
Thermostat(Note:$5 for each additional) $56.00 $
$�_TOTAL
Owner as defined by RCW.19.28.261:(1)Ownervriil occupy the structure for two years afterthis electrical permit is finalized.(2)Owner is
required to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of fast inspection.
After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor.
am making the electrical installation or alteration in compliance with the el ' I laws E.C.,RCW.Chapter 19.28,WAC.Chapter 296-
46B The City of Port Angeles Municipat Code,and Utility Specifications and P 4.05.050 regarding Electrical Permit Applications.
Date Print Name Signature(❑ Owner ❑ Electrical Contractor!(Adrninistrat )
[Electrical Permit Applications may be submitted to City Hall or electricalpermits oQcitycfpa.us or faxed to 360.417.47111
POW ELECTRICAL INSPECTION
WIRING REPORT
Ab s 417-4735
DATE: PERMIT it INSPECTO
t1
OWNE
CONTRACTOR
ADDRESS
APPROVEDOT APPROVED
❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . .
❑. . . . . . . . . . . . . . . . ROUGH IWCOVER . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑
❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑
CORRECTIONS NEEDED: 150,C-8.2 1"�lrc W tlM VE S. �w 916
7-4
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
— DO NOT REMOVE--